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19509 88TH AVE W.PDF111111111111 8415 19509 88TH AVE W NOTICE: I - .0 "..' y -N�o---W*ar-ranty...oT.,.d--(�,(�,u The -information . shown on the attached map(s) was comloiied for use by the City Of Edmonds/ its Employees and Consultants. Th,e City of 'Ecim.onds does not . warrant the y of anything set forth on these accura entity -requesting a Map(�-). Any person or copy should conduct an independent orm-ation shown on inquiry regarding the inf -map(s), including, but not limited to/ -h th . e location of any sewer stub shown. Suc sewer stubs may or may, not exist and may hown. or may not exist at the location s. . . ,�;ty of Edmonds nor its Neither the %_11 empli-o-yee*s o,r office-rs shal-1 be Via-b-Ife for the information give-n* on this map(s), nor for any one representation provided based upon said map(s). REGARDING: 19509 & 19517 -- .88.th__Av6nue West 3�Off-o3 -Zoo (address) R E C 0 R D 0 F C 0 N T A C T S DATE WE, PHONE NO., & ADDRESS of CALLER COMMIFS ACTION TAKEN INITIALS 5/l/74 Kurt Greenberger Certified Letter No. 406419 sent Letter returned. On vacation. TE 13020 Naomilawn St. SW requiring hook-up within 60 days. 6/3/74 Tacoma 98498 Certified Letter No. 4064S4 sent Letter received. TE 7/l/75 Certified Letter No. 406S36 sent Letter returned. TE requiring response by 7/12/74. 7/18/74 Came into office and signed Letter TE of Intent. 12/2/74 Certified Letter No. 406645 sent Letter received. JT Uj requiring hook-up within 60 days. .j 1/14/75 Came into office. We will have Letter sent 1/23/75 with a copy JT U. connection fees calculated and forward of the connection fee for each a copy on to him. He is getting a property. contractor lined up. Uj 2/3/75 Came into office and paid all fees JT and obtained permits #S132 & 5133. 2/4/75 19509 - 88th Ave. W. connection c=leted. JT 2/5/7S 19517 - 88th Ave. W. connection coMleted JT vu_ 0 d VO. &S;C-n -A--, 'e�� (04S .Lnd Lo vi 4-s o�Z r t-,i n, (4fn a Li 3 W kz�- ke Li -A Job -st�� s -t�,CPnr� 4 n A.Lo c,4- 4o -CL CCQ UJ "AAp, Li Con OV,7 LA)-P_ Z. and �VO� I�s be9i n n I VII C� <�rz cl V-�* 0' k7 I IVY- CITY of EDMONDS 200 Dayton Street - Edmonds, Washington 98020 - Telephone (206) 775-2525 Department of Public Works January 23, 1975 Mr. or Mrs. Kurt Greenberger 13020 Naomilawn Drive Tacoma, Washington 98498 Re: Spwp Connection Charges for 19509 & 19517 - 88th Avenue West, Edmonds Dear Mr. or Mrs. Greenberger: Enclosed please find copies of the connection fees owing for your properties located at 19509 & 19517 - 88th Avenue West, Edmonds. Since the deadline for this sewer connection is imminent, prompt payment of these fees shall be appreciated. If you require further information, please contact this office. Sincerely, (�Abffi B. MITCHELL Water/Sewer Superintendent iat Enclosures (2) r Correction of Sewelknnection Memo*of July 3, 1974 - (wrong address) Memo to: Director of Maintenance-& Operation Public Works From: City Engineer Subject: Sewer Connection Charges %e January 22, 1975 RECEIVED JAN 22 197:53 Legal Description: The W P2 of the SW P4 of the SE ;4- of the SW P4 of Sec. 18, T 27 N, R 4 E; LESS the S180 ft together with.the W 20 ft.thereof. . Commonly known.as: 19509 88th Avenue W. Z.F.F. Calculation: 126.37) Z.F.F. x $5.50 0 Lateral x Unit x $ 25 cc: Owner: Kurt Greenberger Mailing Address: 13020 N Tacoma, S 695.04 Connection Fee $ 0 Lateral Charge 25.00 Trunk Charge $ 10.00 Permit $ 730.04 TOTAL I awn Dr. 98498 13 rorm 6 r E 41t e Janua�y 22, 1975 Memo to: Director of Maintenance Operation Public Works From: City Engineer Subject: Sewer Connection Charges RECEIVED JAN 22 1975 Legal Description:. ..The W 110 ft of the S 180ft of the W P2 of the SW P4 of the SE 14- of the SW 14- of Sec. 18, T 27 N, R 4 E LESS.the W. 20 ft. togetherwith the S 30.ft thereof Commonly known as: 19517 88th Avenue Z.F.F. Calculation: 135 Z.F.F. x ($5.50 0 Lateral x I Unit 'x $ 25 co- : Owner: Kurt Greenberger Mailing Address: 13020 Tacoma, S 742.50 Connection Fee $ 0 Lateral Charge S 25.00 Trunk Charge $ 10.00 Permit $ 777.50 TOTAL :0 i I awn Dr. 98498 Form 6 61 16 ,e7� ROTJTIhTG -FOR4 initial Date 2. 5— message- -Z Z 7,/, 6-/j ;7-0 7- Z-- From. Date, "Z ,E-7-72 CITY of EDMONDS 200 Dayton Street - Edmonds, Washington 98020 - Telephone(206) 775-2525 Department of Public. Works December 2, 1974 CERTIFIED MAIL ;6�Z/0664<5.- Mr. or Mrs. Kurt Greenberger 13020 Naomilawn Street S.W. Tacoma, Washington 98498 -.Dear Mr. or Mrs. Greenberger: on July 17, 1974, you indicated your intent to execute an agreement to form a Local Improvement District in the future, for the purpose of connecting the sanitary sewer system on your property at 19509 & 19517 88th Avenue West, Edmonds, to the City of Edmonds' main line sanitary sewer system. 'Such connection was required to,comply with City of Edmonds Ordinances, copies of which were furnished you with the submittal dated May 1, 1974. -Ini tially, we were under the assumption that there would.be several property owners opting to utilize the L.I.D. method to install the sanitary sewer from their private,facility to the City sanitary sewer main. Presently, within the entire City of Edmonds, your property is one of only twenty-one properties in violation of City Ordinance, and remaining to be connected. For several reasons, that number is not .economically feasible when forming a L.I.D. for the originally planned. purpose. The small size of the Local Improvement District would carry high contract, interest, administrative, and design costs. This may very well result in the property owner paying up'to one-third more than he can secure through private negotiation with a local Side -Sewer Contractor. As a result, it is necessary to -abandon the idea of formation of a Local Improvement District and, further necessary that you comply -with the Ordinances mentioned by making the side -sewer connection within 60 days of the date of this letter (January 31,.1975). Extensions of -this date may not be granted; therefore, prompt attention to side -sewer application and payment of connection fees should be initiated. Failure to comply will result in termination of water service to the subject property in accordance with Edmonds City Code 11.16.240. Your prompt response would be appreciated since it is not'our desire to discontinue your water service. — continued — Page Two Requirements for obtaining a Side -Sewer Permit, are a plot -plan drawing of the proposed connection,* the legal description for the property, payment of connection fees, copies of all recorded easements, and payment of the $35 Permit fee., Side -Sewer Permits may be obtained at the Public Works Department, 200 Dayton Street, Edmonds. Please phone Mr. John B. Mitchell, Water/Sewer Superintendent, at 775-2525, extension 226 for any information or assistance you may desire. Sincerely, CITY OF EDMONDS SIGNED J. HERB GILBO Director JHG:jt W7_ SENDER: Se'sure to �611' ow:;n0rUi':iiohS on ofl4isid. 1_,PLtASE'FURNISH SERVICE(S) INDICATED�.13YC . HECKED (4ddit�'Onalcharges required for th�se s�rvices) Sh' ddres� . ow�a_ Deliver L _6'. ct where delivered to addres RECEIPT Received the numbered article described 6 'lo REGISTERED NO. IGN,, :SIGNATURE OR'NAME OF'ADDRESqEE qwust-aiviays be filled inj -CERTIFIED NO-. NATIME 0 F. A DDR ESSEE,�S. A GENT, IF -ANY 2 INSURED X �-7D_A1T_E-,DELIVE ERE Ll SHOW WHERE DEUVERED*40nly'if re4uestid,'and include ZIP Code), f SE14DER:,B,e sure fo fpllow- P PLEASE FURNISH. SERVICE(S) INDICATED -BY CHECKED, BLOCK(S) i itional charges required for these scrvic�s) -11 Show addm5S LY M, Deliver ON . ri where de!ive�ed 66J to.addressee_- RECEIPT ved the numbere&drficle desirib Pecei REGISTERED NO., - k SIGNATURE OR NAME OF ADDRESSEE QAust always bd filled in) CERTIFIED NO. VVG6NATURE OF ADDRESSEEXAGENT, IF ANY INSURED NO. DATE DELIVER_M--::- SHOW WHERE, DE IVERED (Only if -requested, and include ZIP Code) SENDER: B�esur�e, to fa.4iw ins dations on o0er side 77 PLEASE.FURNISti,:SERVICE(S)- INDICATED BY CHECKED BLOCK(S),.'. (Additional cha-,-g�s �equired for the36 sci-viceO Show address Deli er'.ONLY, .-where-delivered____,._ -to addre'�see RECEIPT Reccived-4he numbered article described below REGISTERED NO.. 1IGNATURE OR NAME OF AD DR ESSEE (M ust always- be, filled, in) % 7_ CERTIFIED NO. -AGENT, IF ANY - SIG ATU11E OF ADDRESSEE'S 2 INURED NU. DATE DELIVERED E; DELIVERED-: (Okly if. req2iested, aifd-include PCdc)., �HOW, W14ER___ F_ 7 RECEIPT Received. �fhe�ntfmbered article described below REGISTERED NO. NATURE 0 AM OF ADDRESSEE (must ah" ways be filled in) )I :jG N, RJ�' E G CERTIFIED NO., A 73, SIG14ATURE OF ADDRESSEE'S AGENT, IF.ANY 2 4*SIJRED NO.7 ,DATE DELIVERED SHOW -'WHERE DELIVERED (Only if. requested, a.-nd include ZIP Code) of Sewer 11:45on in e c t i o ?/�4rect on' January 22, 1975 X� uly 3, 1974 - (wrong address 8TAFF.T FILE "a' e Memo to: Director of Maintenance & Operation Public Works From: City Engineer Subject: Sewer Connection Charges Legal Description: The W 12- of the SW 114- of the SE 14- of the SW 14- 0 f Sec. 18, T 27 N, R 4 E; LESS the S 180 ft together with the W 20 ft thereof. Commonly known as: 19509( 88th Avenue Z.F.F. Calculation: 126.37) Z.F.F. x $5.50 0 Lateral x Unit x 25 cc: Owner: Kurt Greenberger Mailing Address: 13020 Naomilawn Dr. Tacoma, WA- 98498 $ 695.04 Connection Fee $ 0 Lateral Charge 25.00 Trunk Charge $ 10.00 Permit $ 7310.04 TOTAL Form 6 Date -july 23, 1974 Memo to: Director of Maintenance Operation Public Works From: City Engineer Subject: Sewer Connection Charges Legal Description: The W 31 of the Sit h of -the SE 4 of the SW k of See. 18, T 27 N.- R 4 E; LESS the S 180 ft together with the W 20 ft Utereof Jq-S09 9 0 Commonly known as: 1960 88th Avenue V. Owner: Kurt Greenberger Z.F.F. Calculation: 126.37) Z.F.F. x $5.50 695-04 Connection Fee 0 Lateral x $ 0 Lateral Charge Unit x $ 25 2�5-00 Trunk Charge $ 10-00 Permit S 730.04 TOTAL LEIF R. LARSON, P.F— .0 E-DIVIONDS CITY ENGINEEP cc: Kurt Greenberger rorm 6 7- z,s - 7q- "A/46* C r'/.g A./, A�, M. AC 4 L=A/ X em 4W o Z, 0, /09v en 4 woov W., 77A, c 40 .q W4 s A7� 9 0 Pe)MTII C) p 91 4e 5 6, so 9 9,72�, Jov. Liz: L- 74E' K/.; w V4 Z, 'C� 44L 4S.r.; 7 0 cp 4e 7-** Z Art, W-07-N' 77 77- V, V.' -Z L4) 9S'. S4�),=� lZe.. 737� iLl. #=.; F-i 3z. Z7� )z 4. -3-7 M, S. S �iv /-a P 4.. P. L) t4 P 4= rc� let, 473 6.'o 4.! 1 4 f.�AKF REM111ANCES PAYABLE TO VERNE SIEVERS 1972 i SNOHOMISH COUNTY TREASURER I EVERETT, WASHINGTON 98201 REAL ESTATE TAX STATEMENT - SNOHOMISH COUNTY, STATE OF WASHINGTON OF ALL STATE COUNTY MUNICIPAL, SCHOOL. AND ROAD TAXES . TL E V Y�- ASSE SSE D VALUATION I A X ATE rCODE 'ATE LAND BUILDINGS TOTAL GENERAL SPECIAL,, C. 78 C , r C 3 7 . 4 , 4 el 1 2 c. n 3 17 2 IT C' "1, '3 c 1 4 . 7 8 , 1,1 C I YOUR TAX DOLLARS YvILL BE DilTRIBUIED TO THE I`OLLOVviNC, TAX DISTRICTS: STATE COUNTY CITY OR ROAD/LIEl SCHOOL DISTRICT PORT DISTRICT OTHEA ? r E E . 7 1 2 FIRE DISTRICT HOSPITAL WATER SEWER FOREST FIRE DIKE DRAIN NAME AND ADDRESS LEGAL DESCRIPTION Ci, fi FN F r- R C EP, L I LL I A N rJ SEC 18 TtiP 27 PCiE 04 R T 1 2 N' Y I L ii 'A 'I CP SIA — 2 5 A W 2 S V 1 T.t C. �.; ',�l 4 4 1; 8 4, c) 3,93.2E.FT i-ES< r I q Il_) j: T lei -0 PLIAll PRINT CHANGE OF TAXPAYEA� NOTICE: OR CHANGE OF ADDRES 0& NAME 7, ADDRESS J� ZIP CITY STATE CODE - FIRST HALF MUST BE PAID BY APRIL 30 OR ENTIRE TAX BECOMES DELINQUENT. SECOND HALF DELINQUENT AFTER OCT. 31 TAX UNDER $10.00 MUST BE PAID IN FULL. 7;7' PROCESS ACCO r NUMBER UNT NUMBER z 0 1972 < FULL FULL TAX CHECK BOX To 3 17.2 t 0 NO INDICATE FULL OR --�TA L -F HALF TAX HALF PAYMENT 115 a. 16 3 0 OMITTED OR DELINQUENT TAX OMIT ROLL NOT INCLUDED IN ABOVE TAX HALF H YEAR YEAR TAX AMIJUNT INTEREST CHECK M. 0. CASH El f C; z Fu A 0: uj CLI Lu z 0 0 X 0 z tA LLJ Lu z 0: ull Correction of Sew Connection Memo"of Uate January',. 22, 1975 July 3, 1974 (wrong address). Memo to: Director of Maintenance & Operation RECEIVED Public Works JAN 2 2.1M From: City Engineer Subject: Sewer Connection Charges Legal Description: The W 12- of. the U �4- of the SE 14 of.the SW 14 of Sec. 18, T 27 N, R 4 E;.LESS the S.180 ft together with -the W 20 ft.thereof. Commonly known as: 19509 88th-Avenue.W. Owner: Kurt Greenberger Mailing Address:, 1'3020 Naomilawn Dr. Tacoma, WA 98498 Z.F.F. Calculation: 126.37) Z.F.F. x $5.50 695.04 Connection Fee 0 Lateral x $ 0 Lateral Charge Unit x 25 25.00 Trunk Charge 10.00 Permit $ 730.04 TOTAL cc: Form 6 E:� �--- Z:�- CITY OF EDMONDS — SIDE SEWER PERMIT WATER -SEWER DEPARTMENT PERMIT M Call 775-2525 for side sewer inspections BEFORE covering any portion of the construction.) (Inspection will be provided within 24 hours after requst. NO Sat., Sun., or holiday inspections. ADDRESS LOCATION OF CONSTRUCTION ...... . ..... V:n.� . ............ . ....................................................... PROPERTY LEGAL DESCRIPTION .... A�AXR� ..... !�n-) �,C, i k 4 .... =7-co ..... jR ..... -- - ------ ............. . ........................... . Q OWNERAND/OR BUILDER ........ -------------------------------------------------------- CONTRACTOR'S NAME & ADDRESS -------- <4 ............ . ...... ................................................ Permission Is granted ....... ...... ........ ............. 19 for repair and/or connection of a side sewer to the city sanitary sewer sv-+�ern in accordance with City of Edmonds ordinances. AT'rENTION IS CALLED TO THE FOLLOWING: NOTE No. 1—The owners of the property may obtain a permit to construct sewer inside property line. A licensed Side Sewer Contractor must be employed to construct side sewer in street area. Do not cover any portion of sewer before it has been inspected. NOTE No. 2—All work performed in city right-of-wav requires an Invasion of Right -of -Way Permit obtainable from the City Engineer's office. NOTE No. 3--Obtaln full information regarding Ordinance 11.16.030 and Regulations governing side sewers when you get permit. NOTE No. 4—Top of side sewer must have at least 30 inches coverage at property line and 12 inches inside property line; minimum grade of 2%. No bends in grade sharper than 'A will be permitted. NOTE No. 5--Trenches In street must be water settled and surface of street restored to original condition. Contractors shall be responsible for failure due to improper . work which may develop within one year of completion. ain sewer or its appurtenances except to in - NOTE No. 6--It is unlawful to alter or do any other work than is provided for in the permit, or to do any work on the m sert the pipe into the wye. DISAPPROVEDC] Date ... .................................... By ................ Date ..... .. . ... Date --------------- . ................... . BY ................ . ....... ..................................................................... APPROVED Date ... . ..... ......................... By... t r .......... ...... 1-3!�� ...... ....... I E(4 ............. Remarks: ....... . ...... it I V ------ -- ---------- .......... . ............... ........................................................................ . .................................. . ................................................... ... ................................ .......................... BOTH Pe it Copies MUST Be y Owner of Firm Performing Construction PRIOR To Request For Inspection co - ----------- 6 K4 t n S or I Uu-tio . ..... .... ..... . ..... . .. ... ... ..... .... ........... ... hereby certify that the side sewer installation constructed under this permit e C nt c-ing Firm Performing Cons uction C r. 4a .. wt.olinstalled lion rdance with all governing ordain es of the City of Edmonds. Datedthis ---------- 4 1 ........... day of ----- ............................ 19... Check BEFORE you dig for: Water E], Gas E], Telephone E], Power E], Sewer [3, Other E] -V %/ The City of Edmonds APPLICATION for SIDE SEWER PERMT NEW CONSTRUCTION 0 REPAIRS 0 OWNER--- ...... ................................................... ADDRESS ... . ... ...... ........................ 0 E EASEMENT No . .......................................... CONT PERMIT No. RACTOR LEGAL DESCRIPTION: LOT No . ...................... ....................... BLOCK No . ............................................ NAME OF ADDITION .............. ------- ; ....... ......... ;-) ---------- 7 ---------------- �<j - r - I- - I Approved: f DATE................................................ By ...................................................................... APPLICATION The City of Edmonds' for SIDE SEWER PERMIT EASEMENT NO. .— ............ ..................... NEW CONSTRUCTION REPAIRS F� LID NO. ------------ ASMT. NO - --------- OWNER ..... ------------- CONTRACTOR . ............... - .... ....... ....... ---------------------------- --- I -------- ------ ........ ......................... ............... PERMIT NO. JOB ADDRESS --- ---- 7-- LEGAL DESCRIPTION: LOT NO - -------------------------------------- BLOCK NO - - --------------------------------- .T-�4r= \N. OF -r"S—= '-'S-.W- '/,4 OF SS- '/A- OF -r-4S �.W. 114 OF 145�1 -r 2!-7 Pt .4 r-_= 0 0 Approved: DATE ---- 91107-t; ----------------- By C� May 13t 1976 M. Alice L. 'Floss 217h South =n,; UM Arx*Us fi �=aa 9n004 -SMMx.T: Simar Cbrvvecticn 19509 88th AVOMM 14. rjoar m. noss: In reference to, your letter of p%y 5, 1976,, it was dismered that a mmber of the rAtyvs Maintenance department Wes making a routine check of houses mid setwar connectiON in this vicinity. As &iscussed pvwjaxjV,, you haw been granted a time Wctension until June or ftly of thin year for making the nacessary hook-up to the rtv,s sewer system. Yours very truly, rrry or rx*rmr, RICWW M ATXJN AssistAnt City rhqineer rd IA: rd r cc: Public W=ks sever repa'rtmant I R E C ETV E D MAY 12 ]JI6 Edmonds Ingr. Be% I May 5, 1976 Re 19508 - 88th Ave. W. .Edmonds, Wash. . City of Edmonds Civic Center Edmonds, Washington 98020 ALtn: Engineering Department Dear Sirs: Please note the enclosed correspondence received from your office and mailed to my address here in Los Angeles, California. In my discussion with your office on A]�ril 13, 1976, 1 was assured that an extensiop of time would be permiuted until I could return in June/July to complete the installation and hookup to sewer. (This extension is mentioned in your letter of April 14, 1976.) I have now been informed that a member of your staff made a personal inquiry at the properry on May 4, 1976, wishing to know what was being done for immediate installation of sewers by the owner. As the one action contradicts the other, it is confusing as to which is correct. Confirmation from your office acknowledging the Lime extension would be appreciated. Sorry for any inconvenience. Sincerely, A� /,,'ceL. Ross 6 S. C S. Catallin Los Angeles, Ca. 90004 -4uti( sw %jin 941%ftrt �%c nivor zwww coftc. or SEW&A&C C0491710141 f OCC%)P*" Cy @PC roe WkS 4 A90044CCO - Date April 14, 1976 Director of maintenanc('�' OperaLion From: city 1.11 Ig iIICI(-r RECE-1 VED Subject: Sewer C0111MO-ion Charges MAY Legal 149f. Description: Dept. The east 90 feet of the South 134.7.6 feet of the following described tract: All that portion of Government Lo,t 4, Section 18, Township 27 North, Range 4 East, W.M., described as follows: Beginning at the Southwest corner of said Section 18; thence.South 89'42'27" East along the South line 1039.92 feet to the East line of said Lot 4; thence North 0'50'00" F;icl- AInn cniri East line 174.76 feet; thence t4est 20 feet of the West margin of county road and the Southeast corner of tract herein described and the true point of beginning; thence North 0`50'00" East along the West margin of said road 154.76 feet; thence West 271.41 feet; thence South 154.75 feet.; thence East 269.16 feet to the true point of beg.inning. Situate in the County of Snohomish, State of Washington. Commonly known as: 19508 88th Ave. t,�. Owner: Alice L. Ross Z-F.F. Calcul-atioll: Z. P-1. 1:1. X LaLeraf X X (This lot has to Pump to sewer) I CC: �SZ`Ro s s 217 1/-2--S. Catalina Los Angeles, CA 9000-4 $ 300.00 Connection Fee niinim'um --- Lateral Charge $ 25.00 Trunk Charge $—.10.0.0 Permi t 335.00 rorA 1, Note: Ms. Ross is settling brother's estate and will return to Edmonds and connect residence to sewer in June/July, 1976. JEngineering Dept. recommends time extension. 2108 'CITY OF EDMONDS— USE, ZONE PERMIT ..0 , NUMBER K1:5 ONSTRUCTION. PERMIT APPLICATION OWNER NANIE/N I AME OF BLISINESYS t4 i(Hc JOB ADORES . S SUITE/APT 1�� Al') r, -11� ic, # CdW",4S SoA ch EGAL DESCRIPTION CHECK SUBDIVISION NO. LID NO. U) Z 0 MAILING ADDRESS CITY. ZIP OE NUMBER PUBLIC RIGHT OF WAY PE.R OFFICIAL STREET -MAP. TESCP App'rbved 0 &LM alvds CTL 'EXISTING REQUIRED DEDICATION RW Permit Required 13 Street Use Permit Req'd 0 NAME PROPOSED Inspectiori Required 0 Sidewalk Required 0 cr METER SIZE .,�.,LINE SIZE NO. OF FIXTURES PRV REQUIRED uj u0j ADDRESS YES 0 NO El CITY ZIP NUMBER REM d. 7 7 cc ui w ]TELEPHONE NAME fiFH 0019 Z cc ADDRESS ENGINEERING MEMO DATED REVIEWEDBY If CITY ZIP TELEPHONE'NUMBER Z 0 0 FIRE MEMO DATED, REVIEWED BY cc STATE LICENSE NUMBER EXPIRATION DATE lu VARIANCE OR CU - ADB# SHORELINE*: Legal Description of Property - include all easements SEPA REVIEW SIGN AREA COMPLETE EXEMPT ALLOWED ALLOWED EXP IPROPOSED JPROPbSED Lu :LOT*cOV`ERAGEi:' REQUIREO�SET%CKS-(FT.)-- PROPOSED SETBACK &(FK)v ;ALLOWED FRONT SIDE REAR - -FRONT UR SIDE REAR uj. j Property [PROPOSED A/& tj Z Z.. Tax Account P41red No. :L1 — 1 -LOTAREA PLANNING REVIEW BY DATE REMARKS �NEW RESIDENTIAL :01LUMBINGWE.CH 1AAA IA S,.0 /Y'r 6k L4 h ADDITION COMPLIANdE OR A_:L� COMMERCIAL CHANGE OF USE. dw( AA-14- r4di A A iA.je D APT.'.BLDG. : �j . REMODEL .6iGN GRADING FENCE CHECKED BY TYPE OF C014STRUCTION FCODE OCCUPAN-Y REPAIR CYDS. �FT). x F11 - woobSTOVE SWIM POOL DEMOLISH INSERT HOT TUB/SPA PECIALANSPECTOR OCCUTIANT 0 GARAGE tM- RETAININGWALQ CARPORT ]AREA REQUIRED 0Y1 LOAD ROCKERY —.(TYPE OF USE� BUSINESS OWACTIVITY) EXPLAIN: PROGRESS 1NSPPCT19NS'PEFj,;,QPC'108 NUMBER' NUMBER'OF CRITICAL <A1611 0 OF i9w, A11.9 /j/ STORIES [DWELLING , . UNITS. JAREAS NUMBEW� Mi e4pwve Cle Q r DESCRIBE WORK TO BE DONE (ATTACH PLOT PLAN) _ c 6,W AJ; A 1114F 140 10�d 0- Wr ;45'41 _6 FINAL]NSPECTION'REOUIRED HPAV -VALUATION PLAWCHECK FEE HEAT SOURCE BUILDING A/C 0/0 PLUMBING Plan Check No. 57. MECHANICAL This Permit coversvork to.be don&on private property ONLY. GRADING/FILIL Any construction on the: public domain,(curbs,:sIdewolks driveways, marquees, etcj%kill require separatwpermlsslo�. :STATE SURCHARGE Permit Application: 180 Days. Permit Limit: I Year - Pirdvided. Work Is Start.edVithim.180 Days STORM DRAINAGE FEE, "'Applicant, on behaif'of his or" her.spouse, heirs, assigns and ENG. INSPECTION FEE successors in interest,, agrees to indemnity,. defend -and -hold. Lu to ss the- . ity , of �harrrile b Wash I ngton::. its '6fficialSj.' �em I _p 0 I yees, and agents' frorn airly-and all clAims1or damageis:dt, whatever nature,'arising directly or Indirectly from. the issuance of this pe mit. Issuance of -this permit shall'not be deemed to., PLAN CHECK DEPOSIT modify, waive7or reduce any.requirement of ahy.city ordinance 0 x nor limit In apy way the City's ability to enforce.any ordinance.. provision." TOTAL AMOUNT DUE I hereby acknowledge thatA:fiave read* this appIliosition;1hit 'the; information given* Is correct;.and that I am the owner, or.thja�duly ATTE NTION: APPLICATION APPROVAL authorized agent of the owner. I agree to comply��with city"an&. . state laws regulating construction; a ' nd In doing the work auth ' orlz-%: THIS PERMIT AUTHORIZES This application Is not B-permit until ed thereby, no:person wIlIL be employed In violation of the:Laborl ONLY THE signed by:the':Buildihg Official or his/her Code of the State of Washington relating to Workmen�s Compensa- WORK NOTED De paid, and receipt is puty; and fees are tion Insurance ar16 RMW7. INSPECTION acknowle6ged.in space'provided. -SIGNATURE (OWN M 01rAGENT) E SIGNED VAT DEPARTMENT CITY OF Of.Flj;]AL'5 SIGNATURE* DATE EDMONDS 93Z TTENTION 'CALL OOR. ;AELEASED 13YL,--' DATE INSPECTION IT IS: UNLAWFUL, TO USE: OR QCCUPY'A BUILDING OR STRUCTURE 6- -UNTIL A FINAL INSPECTION.HAS BEEN MADE -AND APPROVAL OR 774-M20 ORIGINAL File YELLOW — Inspector .�A CERTIFICATE OF OCCUPANCY HAS. BEEN GRANTED. UBC SECTION 109 PINK — Own e r, GOLD — Ass . essor 1",— //—/Z- 9 102-07 . . 1 77 TO DATE TO: FROM: PERMIT COORDINATOR, BUILDING DIVISION FIRE DEPARTMENT DATE / 24/1 7 ENGINEERING DIVISION DATE PLANNING DIVISION DATE OWNER_6'1-�---�A.�5 t�a�6 —ADDRESS—Li.5 PERMIT 2 OqZJe ADB# INSPECTEDOI;_ IXII'Qlq7 A field inspection was conducted to determine compliance with approved plans. Final approval denotes there are no objections to the granting of.: -'� Occupancy fbr�the building —Maintenance Bonds may be released Other inspected .Performance Bonds may be released —Landscaping is approved —f!L—PASSED FIRST INSPECTION - CONDITIONS NOTED' 1. —FAILED INSPECTION - OUTSTANDING REQUIREMENTS - RECALL FOR INSPECTION 1. 2. 0 4. . sft OCCUPANCY OR FINAL APPROVAL —RE-INSPECTED - APPROVED RE INSPECTED - FAILED I . 2. — RE -INSPECTED APPROVED /OCCAPRVL12/96 DATE /Z//I/'??B DATE-13 DATE BY DATE BY 7t7--Washington State rDINP,ARI, NT OF SO FC So SOC AL HEALTH SERVICES A A It -0- .-- *1 T-T T In compliance with and pursuant to the laws of the State of Washington and the Minimum Licensing Requirements of the Department of Social and Health Services a license is hereby granted to . GLORIA M. ZUCHOWSKI License Number 416000 city of to conduct and maintain at 19509 - 88TH AVENUE WEST EDMONDS zip code 98026 county of SNOHOMISH State of Washington, an Adult Family Home for the care and supervision of adults as follows: 24-hour family care for no more than SIX (6) adults a number 12TH SEPTEMBER 19 97 This license shall be in force from the day of to and including the - 12TH day of SEPTEMBER 1 19 98 , subject to revocation for due cause. Special Tenns: F 4 X JoAnne Pullen Licensor Mary DeLang1U---,-J LicensingAuthority�j NOTE: This license is not transferable, and is valid only for use by the individual(s) to whom it is issued and at the location above described. Issued by Authority of Chapter 172, Laws of 1967, and RCW 70.128. DSRS 10-173 (Rev. 1191) RETURN ADDRESS: City of Edmonds, City Clerk 121 5th Avenue North Edmonds, WA 98020 7 0,� NOTICE OF LEWITATION AND COVENANT ADULT FAMLY HOME Reference M 97-365- G r a n t o r (s): (1) —6 11 Or —1- 6 ---Z �vc I 1 (2) Additional on pg. Grantee(s): CRY Of Edmonds Legal Description (abbreviated): SecJ2—Twn—J1Rng--9--%_Qtr st,; OR Lot Block ----____Plat Assessor's Tax Parcel M#(s): (1- - I Q 4. (2) Assessor's Tax Parcel ][D# not yet assigned AUTHORIZED FOR RECORDING City of Edmonds By: J�-6 Date:—htU--9?1 Page I of —3— 1 ply WHEREAS, the undersigned owners of property located at / Tocl ?rj(�h,4tte ,.Ij, in Edmonds, Washington legally described below or on the attached Exhibit A, have applied for a building permit for compliance and/or to remodel a structure located on the site; and WHEREAS, the Applicant has. notifled the City of applicant's intention to utilize the. improvements and/or to convert an existing single family structure to 'an adult family home; and WHEREAS, under the Uniform Building Code the number of occupants of a structure trigger certain requirements relating to the fire suppression and exiting requirements; and WHEREAS, the City has notified the applicant that the permit will be issued conditioned on limitation 'of residents to -or fewer residents and their caretakers; and WHEREAS, the City has issued a permit based upon such representations; NOW, THEREFORE, the undersigned property owners (hereinafter "Owner") in consideration of the issuance of a building permit and in order to confirm the promises upon which such issuance is'based while providing notice to any future owners or mortgagors of the . property does hereby stipulate, covenant and agree as follows: C e tion esidenc and agrees that occupan The owner hereby stipulates to cy of the structure as an adult family home shall be limited fewer adults and their caretakers as allowed by applicable provisions of state law. The owner acknowledges'that in the event that the applicant seeks* revision of the applicant's state license to operate an adult family home an Occupancy of greater than with otherwise __k__ residents or attempts to ren4 lease or provide residence for additional residents bove permitted in the current occupancy classi the fication, the structure shall be vacated and all residential use ceased until such time as the property is brought into compliance with the provisi * Ons of the State Building Code, under the edition of the Uniform Iluilding Code then in effect. The owner further stipulates that this covenant touches and concerns the land SO long as the present structure and use continues and shall run with the land to all future purchasers and assigns. 2. SAM=Llu "c The above stipulation and Promises shall apply to and run with the land with respect to a residential structure located at i2aft-alhAL&C. (J. I . I � , Edmonds, Washington and legally described as: .4e — / Q — 3. 0 Mention �L_ Future Purchasers a d i ee This notirication and covenant has been recorded in the records of Snohomish County, Washington in order to provide notice to any and all future owners of the property of the limitation at the current level Of improvement to single families and adult family home residents fewer than—&-7—in -number. 4. EA&—rce—M—PUL In addition to any and other remedies civil or criminal Which the City may have, the property owner hereby agrees and stipulates that this grant Of covenant shall entitle the City to enforce by injunction the provisions of this cod . e and, in so doing, to recover its reason . able attorney's fees and costs. MAUTHORIZED FOR RECORDING BY: — CitY of Edmonds :9=6� Date: 1-25--J�pr Page _�� of M DATED this; 0 ------- day of A 0 1� r )1-7 ACCEPTED BY: 19 -7 OWNE R: APPLICANT/PROPERTY 4� . Jr. Je nnine L. Graf Building Official 10,14.01v"o Aa*rA1-q-70qZ,5- A,-"H- ff 411,j5,,po 134 # 6Z 3 5- NOTIFICATION NOTARY FOR OWNER SIGNATURES State of Washington ) County of )SS Q��) plicant Applicant Owner Owner COVENANTAND ACKNOWLEDGED: Mortgagor 1 certify that I know or have satisfactory evidence that 'I', 1oQ-1 14 signed this instrument, on oath stated that he/dw was authorized to execute the instrument and uckWwledged it as the A - 0 �)LIORn—i, (title)of . . e"of party on behal - - !-� &LL�VW-5. fr Ynq f on Whom instrument was executed) to be the t Of such Party for.the uses ai4purposes mentions in this t d and sworn to before me this --LO day ofDQQZMt- PUBLIC 5 ta )L,9MPHANIE. SILVA Public in and for th St t f Washingto 9�- a eo Y commission expires n. certify that I know or have satisfactory evidence that I (I -T 0!, I'll 1. 1112 ''lZM.''', -all-IG: signed this instrument, on oath stated that Ye/she instrument and acknowledged it as the was authorized to execute the itle) of _TAE FCjr!j _ _ y)C (name of party on behalf on whom ins _ . trument was executed) to be the free and voluntary act ol'such party for the uses and Purposes mentions in this ins s d and sworn to before me this —A-1— day of C �40TA -STEPHANIE SIUVA 4P PUBLIC 610 Public in.and forth Stat e 0 f�Wa sh i n g, on, . .10 lq!gb Mmission expires 4b AUTIHORIZED FOR RECORDING By: City of Edmonds Date: Page -'4 of L:ITEmPkBUILDI.NGVORMSIADF-COV.DOC I wool'- -RETURN ADDRESS: City of Edmonds, City Clerk 121 5th Avenue North Edmonds, WA 98020 9712030609 12/03/97 16:57 p.o003 Recorded Snohomish county NOTICE OF MUTATION AND COVENANT ADULT FAMILY HOME Reference #: 177-36 51, Grantor(s): (1 (2) Additional on pg.— Grantee(s): City of Edmonds Legal Description (abbreviated): Sec-L9—Twn-J-2A—Rn9 40 Y Qtr 514-1 OR Lot------JBlock___-----Ylat Assessor's Tax Parcel El)#(s): (I 19.27oy-3-12R-booi6 (2) Assessor's Tax Parcel ID# not yet assigned AUTHORIZED FOR RECORDING City of Edmonds By: JE6 Date:—Ltlu--9?� Page Of WHEREAS, the undersigned owners of property located at 1950cl 3rf-hAtle,41. in Edmonds, Washington legally described below or on the attached Exhibit A, have applied for a building permit for compliance and/or to remodel a structure located on the site; and WHEREAS, the applicant has notified the City of applicant's intention to utilize the improvements and/or to convert an existing single family structure to an adult family home; and WHEREAS, under the Uniform Building Code the number of occupants of a structure trigger certain requirements relating to the fire suppression and exiting requirements; and WHEREAS , the City has notified the applicant that the permit will be issued conditioned onlimitation of residents to 4� or fewer residents and their caretakers; and WHEREAS, the City has issued a permit based upon such representations; NOW, THEREFORE, the undersigned property owners (hereinafter "Owner") in consideration of the issuance of a building permit and in order to confirm the:'promises upon which such issuance is based while providing notice to any future owners or mortgagors of the property does hereby stipulate, covenant and agree as follows: 1. Covenant: Limitation on Residence, The owner hereby stipulates and agrees that occupancy of the structure as an adult family home shall he limited to 62 or fewer adults and their caretakers as allowed by applicable provisions of state law. The owner acknowledges that in the event that the applicant seeks revision of the applicant's state license to operate an adult family home with an occupancy of greater than ' residents or attempts to rent, lease or otherwise provide residence for additional residents above, the (0 permitted in the current occupancy classification, the structure shall be vacated and all residential use ceased until such time as the property is brought into compliance with the provisions of the State Building Code, under the edition of the Uniform Building Code then in effect. The owner further stipulates that this covenant touches and concerns the land so long as the present structure and use continues and shall run with the land to all future purchasers and assigns. 2. SubJect Tract. The above stipulation and promises shall apply to and run with the land with respect to a residential structure located at /195bol 'B'9+A- e- . L) - , Edmonds, Washington and legally described as: M I ZVI � 111111111111111 __ * JW 3. Notification to Future Purchasers and Assignees. This notification and covenan ' t has been recorded in the records of Snohomish County, Washington in order to provide. notice to any and all future owners of the property of the limitation at the current level of improvement to single families and adult family home residents fewer than & 7 in number. 4. - Enforcement, In addition to any and other remedies civil or criminal which the City mp-y have, the property owner hereby agrees and stipulates that this grant of covenant shall entitle the City to enforce by injunction the provisions of this code and, in so -doing, to recover its reasonable attorney's fees and costs. AUTHORIZED FOR RECORDING City of Edmonds By: ;" Date: V -2 7 Page 2— of -3 1/1, A!10 DATED this 0 day of - ACCEPTED BY: OV44ER: J" Je�nnine L. Graf Building Official AocH ff 416 000 15,4 # 6Z 3 -5- NOTIFICATION NOTARY FOR OWNER SIGNATURES State of Washington ) )ss County of 5'10HM12�D APPLICANT/PROPERTY plicaut Applic t .,c Owner Owner COVENANT AND ACKNOWLEDGED: Mortgagor 19 77 I certify that I know or have satisfactory evidence that 0-,1 10 Q-1 signed thi§ instrument, on oath stated that he/dw was authorized to execute the instrument and adWwledged it as the #4 D12 L I o R n -T . (title) of 8 1 Q(?-) W-5 0(r- , � A . I e"of party on behalf on whom instrument was executed) to be the fr t of such party for the uses and purposes mentions in this sM d and sworn to before me this /0 day of 0C-CVr01X1'Z- 9 () rl PUBLIC : -;; 2 Ay commission expires, I C) - C) W" % .9,-- .-LOV\f�i-j �,,% 0,, P—gnEPHANIE, SILVA ta Public in and fo th State of Washington. I certify that I know or have satisfactory evidence that t ) I Q, -T OQ- signed this instrument, on oath stated that.he/she was authorized to execute the instrument and aclinowledged it as the � in n- not. or Piff(ititie) of 7mr Edm"5 r- —>Cj .1 (name of party on behalf on whom instrument was executed) to be the free and voluntary act of such party for the uses. and purposes mentions in this in=, scrdyqd and sworn to before me this day of Co HANIE SILVA SMP Noto Public in and for th State of Washington. PUBLIC mmissionexpires AUTHORIZED FOR RECORDING City of Edmonds By:—,IM Date: 11-2sj�l Page of-3 L:kTENMBUILDINGVFORMS\ADF-COV.DOC 13 RECORD OF INSPECTIONS ,INSPECTOR DATE APPROVED SETBACKS ................. FOUNDATION: Footing .................... Wall ....................... Pier/Porch ................ RetainingWall ............ Slab Insulation ............ PLUMBING: Underground: ............ Rough -In ................. Commercial Final ........ HEATING: Gas Test ................. Gas Piping ................ Equipment ................ Commercial Final ......... EXTERIOR SHEATHING NAILING .................... FRAMING .................... INSULATION: FloorInsulation ........... Wall Insulation ........... Ceiling Insulation ......... SHEETROCK NAILING ...... SPECIAL INSPECTION ...... MISCELLANEOUS FINAL APPROVAL FOR OCCUPANCY ......... ___ f /' tL Fee 1'�Idf 1e1x1t-f11- / '!!!! W7 V///L/ / 176�) 7_171� f - 1,; 1; t77rTash "gion State DEP FIC TMENT OF 0 OCIAARL & H EA LTH SERVICES .Adult Family Home ticenose In compliance with and pursuant to the laws of the State of Washington and the Minimum Licensing Requirements of the Department of Social and Health Services a license is hereby granted city of to GLORIA M. ZUCHOWSKI License Number to conduct and maintain at 19509 - 88TH AVENUE WEST 416000 EDMONDS , zip code 98026 , county of SNOHOMISH State -of Washington, an Adult -Family Home for the care and supervision of adults as follows: 24-hour family care for no more than SIX (6) adults mimber This license shall be in force from the 12TH day of SEPTEMBER ) 19 97 , to and including the 12TH day of SEPTEMBER 1 19 98 , subject to revocation for due cause. Special Terms: JoAnne Pullen Licoisor Mary DeLan4E____-1 Limishig Aidhority �J NOTE: This lice nse is not transferable, and is valid only for use by the individual(s) to whom it is issued and at the location above described. Issued by Authority of Chapter 172, Laws of 1967, and RCW 70.128. % I DSHS 10-173 (Rev. 1/91) a t . I RETURN ADDRESS: City of Edmonds, City Clerk 121 5th Avenue North Edmonds, WA 98020 /FN�s (a PY k�=9 -'�' Y 7 /,-;? o --3 o & 0,� NOTICE OF LEWITATION AND COVENANT ADULT FAAHLY HOME Reference M 97-36511 Grantor(s): (1) &10r1-c--Zvc�h&-4Sk,-(2 Additional on pg. Grantee(s): City of Edmonds Legal Description (abbreviated): Sec-L9 Twn_j2 _Rng--P—Y—Qtr Sw OR Lot Block_______plat Assessor's Tax Parcel ED#(s): (I ) 16 (2) Assessor's Tax Parcel 10D# not yet assigned AUTHORIZED FOR RECORDING City of Edmonds By: JE6 Date:—Lt?-r--9?1 Page J_ of 7 WHEREAS, the undersigned owners of property located at / Tog Firi-hAve _4), in Edmonds, Washington legally described below or on the attached Exhibit A, have applied for a building permit for compliance and/or to remodel a structure located on the site; and WHEREAS, the Applicant has. notified the City of applicant's intention to utilize the improvements and/or to convert an existing single family structure to an adult family home; and WHEREAS, under the Uniform Building Code the number of occupants of a structure trigger certain requirements relating to the fire suppression and exiting requirements; and WHEREAS, the City has notified the applicant that the permit will be issued conditioned on limitation 'of residents to --IL— or fewer residents and their caretakers; and WHEREAS, the City has issued a permit based upon such representations; NOW, THEREFORE, the undersigned property owners (hereinafter "Owner") in consideration of the issuance of a building permit and in order to confirm the promises upon which such issuance is based while providing notice to any future owners or mortgagors of the property does hereby stipulateg covenant and agree as follows: o e t: tio The Owner hereby stipulates and agrees that occupancy of the structure as an adult family home shall be limited to ----4L__�or fewer adults and their caretakers as allowed by applicable provisions of state law. The owner acknowledges that in the event that the applicant seeks- revision of the applicant's state license to operate an adult family home with an occupancy of greater than residents or attempts to ren4 lease or otherwise provide residence for additional residents ' above the - permitted in the current Occupancy classification, the structure shall be vacated and all residential use ceased until such time as the property is brought into compliance with the provisi ' Ons of the State Building Code� under the edition of the Uniform Building Code then in effect. The owner further stipulates that this covenant touches and concerns the land so long as the present structure and use continues and shall run with the land to all future purchasers and assigns. 2. SAbi—ee-Uhant. The above stipulation and promises shall apply to and run with the land with respect to a residential structure located at L) f . . - _� Edmonds9 Washington and legally described as: 3. !!!'�klotificatiou ch 11 Is! 1! 11 and covenant has been reco!: 1 5 . 11Z LASSU',nees This notification rded in the records of Snohomish County, in order to provide notice to any and all future owners of the pro Washingto-- limitation at the current level of improvement perty of the home residents fewer than —&-7— in -number. to single families and adult family * 4. Enforcement, In addition to any and other remedies civil or criminal which the CitY may have, the Property owner hereby agrees and stipulates that this grant of 1 covenant shall entitle the City to enforce by juJunction the provisions of this cod . e and, in so doing, to recover its reasonable attorney's fees and costs. AUMORIZED FOR RECORDING UTRO, 22 CitY Of Edmonds Date: �-25%-J�r =L__ Page —2— of -3 ;� , . 4 /0 141 DATED this -------- day of A0 L! r n'-7 19 f*7 ACCEPTED BY: OWNER: APPLICANT/PROPERTy Jeannine L. Graf Building Official AcH 131- # 6Z3-,S'- NOTIFICATION NOTARY FOR OWNER SIGNATURES State of Washington ) County of - )ss QDDI L_11_�)) plicant Applicant Owner Owner COVENANT AND ACKNOWLEDGED: Mortgagor certify that I know or have satisfactory evidence that 11�� 'I 10L Q 1-� Ck, .... . . ...... ..... signed this instrument, on Oath stated that he/dw was authorized to execute the instrument and ackWwledged itas the 14111L -(title) of&LO(2) at Ho _5 e1of party on behalf on whom instrument fr was executed) to be the i t6 "--VQ'1AHt. t of such Party for the uses and, purposes mentions in this 'jMl%ft%�M d and sworn to before me this , . I. % k . __�Q_ day of D 9 IL Pusur." O-A - )0,6'MPHANIE. SILVA ta Public in and for th St t )f Washingt a e o hin on_ Y commission expire I certify that I know or have satisfactory evidence that _Q-Tof�> L_U_eLt-_j)L11 _LLL___L_ - signed this instrumen4 on oath stated that hLe/she was authorized to execute the instrument -and acknowledged it as the Iq r'j al—M I itle) of I_ �rl _7RE ECjj]j-f05 (name of party on behalf On Whom instrument was executed) to be the free and voluntary act of such party for the uses and Purposes mentions in this ins s d and sworn to before me this day of '190 ---------- Aj%0TAt?p _-A ,ALY) STEPHANIESILVA PLIBLIC Noto Public in. and for th St t A- inja e f Washington,. s mmission expire AUTHORIZED FOR CORDING City of Edmonds Date: Page --?> of L:�TEMP\BUILDING\FORMS\ADF-COV.DOC